Healthcare Provider Details

I. General information

NPI: 1285671081
Provider Name (Legal Business Name): BAIRD RESPIRATORY THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 06/03/2022
Certification Date: 06/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2627 MOUNT CARMEL AVE
GLENSIDE PA
19038-2911
US

IV. Provider business mailing address

PO BOX 249
GLENSIDE PA
19038-0249
US

V. Phone/Fax

Practice location:
  • Phone: 215-884-2990
  • Fax: 215-885-5070
Mailing address:
  • Phone: 215-884-2990
  • Fax: 215-885-5070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StatePA

VIII. Authorized Official

Name: GREGORY BAIRD
Title or Position: PRESIDENT
Credential:
Phone: 215-884-2990